RCM Innovation, Senior Operations Manager (Remote)

Homeward is rearchitecting the delivery of health and care in partnership with communities everywhere, starting in rural America. Today, 60 million Americans living in rural communities are facing a crisis of access to care. In the U.S. healthcare system, rural Americans experience significantly poorer clinical outcomes. This trend is rapidly accelerating as rural hospitals close and physician shortages increase, exacerbating health disparities. In fact, Americans living in rural communities suffer a mortality rate 23 percent higher than those in urban communities, in part because of the lack of access to quality care.

Our vision is care that enables everyone to achieve their best health. So, we’re creating a new healthcare delivery model that is purpose-built for rural America and directly addresses the issues that have historically limited access and quality. Homeward supports Medicare-eligible beneficiaries by partnering with health plans, providers, and communities to align incentives – taking full financial accountability for clinical outcomes and the total cost of care across rural counties.

As a public benefit corporation and Certified B Corp™, Homeward’s mission and business model are aligned to address the healthcare, economic, and demographic challenges that make it challenging for rural Americans to stay healthy. Our Homeward Navigation™ platform uses advanced analytics to connect members to the right care and local resources that address social determinants of health and improve holistic health outcomes. Since many rural communities lack adequate clinical capacity, Homeward also employs care teams that supplement local practices and reach people who cannot otherwise access care.

Homeward is co-founded by a leadership team that defined and delivered Livongo’s products, and backed most recently by a $50 million series B co-led by Arch Ventures and Human Capital, with participation from General Catalyst for a total of $70 million in funding. With this leadership team and funding, Homeward is committed to bringing high-quality healthcare to rural communities in need.

The Opportunity

We’re seeking a high-performing and innovative RCM operations leader to support the design, implementation, and ongoing management of a new RCM (Revenue Cycle Management) solution designed specifically for rural hospitals and health systems. This person will bring subject matter expertise in clinical documentation, coding, billing, and denials, and will work closely with our product, engineering, and implementation teams to ensure our solution is built to succeed.

This is a unique opportunity to be part of a zero-to-one build, shaping how modern, AI-enabled RCM services are delivered to rural hospitals and health systems. You’ll get to help define and operate a product from the ground up—and play a critical role in making it successful.

This is a hybrid strategic and hands-on role: you’ll advise on product and vendor decisions, and then help operationalize the day-to-day service model. Over time, we aim to grow this into a leadership position as we continue to scale.

What You’ll Do

• Serve as the internal subject matter expert on inpatient and outpatient coding, billing, and denial management
• Collaborate with Homeward product and implementation teams to create scalable, tech-enabled processes that reflect real-world RCM operations
• Participate in vendor evaluation and selection, providing a practical lens on features, workflows, and feasibility
• Participate in early provider implementations and, if needed, support client-facing interactions 
• Directly operate the RCM platform during early pilots to ensure optimal functionality, identify improvements, and establish scalable workflows
• Act as an end-user of the tech-enabled product and processes to ensure customer delight and strong performance
• Help define quality standards, coding accuracy benchmarks, and service SLAs
• Maintain a continuous improvement mindset—surfacing insights that help evolve the product and service model

What You'll Bring

• 8+ years of experience in revenue cycle operations, with deep inpatient coding and denial management expertise
• Experience working in or with health systems and hospitals
• Experience implementing, supporting and operating computer-assisted coding tools and denial management platforms
• Familiarity with next-gen AI-enabled RCM tools or an appetite to learn 
• Comfort working across disciplines: product, clinical ops, engineering, and external partners
• Ability to work independently, creatively, and self-direct in a fast-moving, early-stage environment
• Strong verbal and written communication skills; ability to represent Homeward with external partners
• Willingness and ability to travel up to 25% of the time.

Nice to Have

• Outpatient coding and denial management experience
• Background working in tech-enabled healthcare delivery

What Shapes Our Company

• Deep commitment to one another, the people and communities we serve, and to care that enables everyone to achieve their best health
• Compassion and empathy
• Curiosity, and an eagerness to listen
• Drive to deliver high-quality experiences, clinical care, and cost-effectiveness
• Strong focus on sustainability of our business and scalability of our services, to maximize our reach and impact
• Nurturing a diverse workforce, with a wide range of backgrounds, experiences, and points of view
• Taking our mission and business seriously, but not taking ourselves too seriously– having fun as we build!

Benefits

• Competitive salary, equity grant, generous paid time off
• Comprehensive benefits package including medical, dental & vision insurance with 100% of monthly premium covered for employees
• Company-sponsored 401k plan
• Flexible working arrangement

The base salary range for this position is $105,000 - $135,000 annually. Compensation may vary outside of this range depending on a number of factors, including a candidate’s qualifications, skills, location, competencies and experience. Base pay is one part of the Total Package that is provided to compensate and recognize employees for their work at Homeward Health. This role is eligible for an annual bonus, stock options, as well as a comprehensive benefits package. 

At Homeward, a diverse set of backgrounds and experiences enrich our teams and allow us to achieve above and beyond our goals. If you have yet to gain experience in the areas detailed above, we hope you will share your unique background with us in your application and how it can be additive to our teams.
Homeward is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Homeward is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities.